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Reconstruction Of A Cloacal Birth Defect

North Carolina rates for HCPCS 46748

Reconstructive surgery for a child born with a cloaca, in which the bowel, the vagina and the urinary tract empty through a single shared opening. The surgeon separates the three passages and rebuilds each with its own outlet, and lengthens the vagina using a segment of intestine or nearby tissue.

Rates data updated July 2026.

How much does Reconstruction Of A Cloacal Birth Defect cost?

$5,012

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $4,898 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,012$4,074 to $7,943
FacilityA hospital or hospital-owned outpatient department$4,898$4,169 to $6,310

How much rates vary

Facilitymedian $4,898 · 10th to 90th $3,236 to $8,710Professionalmedian $5,012 · 10th to 90th $3,890 to $11,482
$500$1K$2K$5K$10K$20Kfacility $4,898professional $5,012

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$6,309.57
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,248.07
Typical High
$11,748.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$10,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,011.87
Typical High
$7,762.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$11,481.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$7,943.28
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$26,302.68
Typical High
$26,302.68
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$36,307.81

Where North Carolina sits

The same service costs 2.3 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 16th of 51

$5,012

MN $9,550VT $4,074

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.